A young female patient reported to the department of oral and maxillofacial surgery with complaint of asymptomatic swelling in left posterior region of lower jaw since 6 months. Complete intraoral and extraoral clinical examination was done. Routine radiographical investigations were advised. Based on clinical and radiographical findings she was provisionally diagnosed with odontoma of left mandible. It was a considerably giant mass with thinned out both cortical plates and the inferior border of the mandible. Although we assumed high risk of fracture of the mandible, successful surgical excision of the tumour was done using a minimally invasive intraoral approach and by sectioning the odontoma, sparing cortical bones. We managed to remove the whole of tumour without fracturing the mandible. Final histopathological report confirmed the initial diagnosis of complex composite odontoma. Patient is under regular follow-up.

Traumatic injuries are commonly happening in pediatric and adolescent age groups of which 20% present with dentoalveolar fractures. The most common cause of which is teeth luxations, intrusive luxations being the most severe form. The timely diagnosis, both clinical and radiological as well as swift treatment goes a long way in maintaining the form and function of the patients oral complex. This case report describes a case of dentoalveolar fracture of anterior maxilla because of intrusive luxation of maxillary anterior teeth, its diagnosis, and management.

Adenoid cystic carcinoma is one of the rarest salivary gland carcinoma that predominantly arises from the minor salivary glands, the palate being the most common site. The tumor is typically slow-growing compared to other carcinomas with perineural invasion and distant metastasis are common ndings. This neoplasm is dened by its distinctive histological appearance. We have reported a case of adenoid cystic carcinoma involving the right anterior two third of tongue. The aim here is to highlight the importance of diagnosis; its treatment planning and long term follow up of the patient.

Maxillofacial injuries are increasing in frequency due to increasing reliance on road transportation and increasing socioeconomic activities. The primary management of most of the maxillofacial traumas is closed reduction with maxillomandibular/intermaxillary fixation (IMF). But owing to the advantages offered by open reduction and internal fixation it has become more popular nowadays. This article includes a case report and literature review regarding the necessity of IMF after open reduction and internal fixation.

Achieving optimum pain control and anesthesia in maxillofacial fracture trauma individuals will be difficult in some scenarios because of change in position of landmarks due to fracture, trismus, and noncompliant nature of patient due to pain. We did a comparative evaluation of efficiency of inferior alveolar nerve block (IANB) and Vazirani-Akinosi closed mouth nerve block technique to anesthetize the inferior alveolar nerve in trauma patients with trismus and concluded that IANB is superior to Vazirani-Akinosi in terms of onset and efficacy but its application in trauma patients with reduced mouth opening is limited and Vazirani-Akinosi will be the technique of choice in case of such scenarios.